This thread is a "sticky thread" which means it will always remain at the top of this sub-category. It contains a recommendation for new people regarding the most important five documents in the thematic area of "Health and hygiene in non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)". Note were are not dealing with schools in this sub-category as WASH in schools is a huge topic with its own sub-category and key documents here:
forum.susana.org/forum/categories/27-sch...d-hygiene-in-schools
. So this sub-category is for WASH away from home and not at school.

The initial selection of documents and links is based on a recommendation by Cor Dietforst from IRC. We are open to feedback if others think that another document should be selected here.

Recommended top five documents in the thematic area of "Non-household settings", in reverse chronological order:

The article reviews international standards, international and national actors, and monitoring initiatives. The authors developed the first typology of non-household settings and assessed the viability of monitoring. Six types of non-household settings were distinguished: schools, health care facilities, workplaces, temporary use settings, mass gatherings, and dislocated populations. Data suggest that WASH coverage is generally poor and often lower than in corresponding household settings.

(2)
WHO and UNICEF (2015). Water, sanitation and hygiene in health care facilities: Status in low and middle income countries and way forward. World Health Organization (WHO), Geneva, Switzerland and UNICEF, New York, United States
www.susana.org/en/resources/library/details/2374

This report presents for the first time a multi-country review of water, sanitation and hygiene (WASH) services in health care facilities in 54 low- and middle-income countries. WASH services provide for water availability and quality, presence of sanitation facilities and availability of soap and water for handwashing. The main focus of the results is on water availability as there were very limited data on water quality, sanitation and hygiene. In addition, a brief summary of data on the safe disposal of health care waste is provided.

There is sufficient evidence that water, sanitation, and hygiene (WASH) may impact maternal and newborn health (MNH) to warrant greater attention from all stakeholders involved in improving MNH and achieving universal WASH access. Enabling stronger integration between the WASH and health sectors has the potential to accelerate progress on MNH; this should be accompanied by improving monitoring of WASH in health care facilities providing MNH services as part of routine national-level monitoring, and at the global level through international instruments.

This publication includes a set of guiding principles that will support companies in their efforts to implement water, sanitation and hygiene (WASH) at the workplace. Companies are invited to commit to these principles by signing the WBCSD Pledge for Access to Safe Water, Sanitation and Hygiene at the Workplace. This Pledge aims to secure appropriate access to safe WASH for all employees in all premises under direct company control.

This handbook presents a summary of the expertise that engineers of International Committee of the Red Cross (ICRC) have acquired regarding environmental engineering in places of detention. Detailed drawings present solutions in such areas as water supply, sewage and waste disposal, food preparation, vector control, general hygiene and health.
The guidelines complement the ICRC handbook by providing additional information and enhanced specifications, particularly in relation to the accommodation found in the wide variety of prisons throughout the world.

You can find further important documents and website links dealing with this topic here:

Please provide your feedback. What do you think of this selection? We can update it from time to time.

Regards,
Elisabeth]]>Other non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)Tue, 01 Dec 2015 03:24:19 +0100Water, Sanitation and Hygiene (WASH) in Correctional Facilities (Prisons) Is A Neglected Human Right. - by: dannyogwohttps://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/23010-water-sanitation-and-hygiene-wash-in-correctional-facilities-prisons-is-a-neglected-human-right#26843
https://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/23010-water-sanitation-and-hygiene-wash-in-correctional-facilities-prisons-is-a-neglected-human-right#26843
Working in remand homes, a 14 years adolescent girl made a request for a piece of paper. Requesting what she wants to use the piece of paper to do? She responded “I want to use it to manage my menstrual discharge”. She revealed that most girls in the remand home/ prison lack access to feminist hygiene materials to safely manage their menstruation. They are left with the option of sitting on the floor during the menstruation allowing their cloths to soak the menstrual discharge.]]>Other non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)Mon, 21 Jan 2019 13:57:38 +0100Call for hand hygiene leaders in healthcare facilities - by: apalomareshttps://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/23043-call-for-hand-hygiene-leaders-in-healthcare-facilities#26826
https://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/23043-call-for-hand-hygiene-leaders-in-healthcare-facilities#26826
The Global Handwashing Partnership is looking for stories of health workers and other leaders working to promote handwashing in healthcare settings! We are working on a series of interviews, highlighting hand hygiene leaders who are making a difference in their healthcare facility. This series seeks to share examples and personal narratives of leaders, documenting their successes and learnings to compel more people to take action in improving hand hygiene.

Our first hand hygiene profile features Nkwan Jacob Gobte and his work to bring antiseptic handrub to all Cameroon Baptist Health Services facilities. Read his profile here:
bit.ly/2Rmox69
. Additionally, if you know anyone leading hand hygiene efforts at their healthcare facility, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. so we can feature them in our series.

An absorbing recent paper highlights the impact of WASH (water, sanitation and hygiene) in healthcare facilities. Titled: What is the impact of water sanitation and hygiene in healthcare facilities on care seeking behaviour and patient satisfaction? A systematic review of the evidence from low-income and middle income countries; the paper has Oliver Cumming of Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK, as one of the authors.
gh.bmj.com/content/3/3/e000648

Abstract (in part) says:

We sought to assess the relationship between water, sanitation and hygiene (WASH) provision in healthcare facilities (HCF) and patient satisfaction/care seeking behaviour in low-income and middle-income countries. Pubmed and Medline Ovid were searched using a combination of search terms. 984 papers were retrieved and only 21 had a WASH component warranting inclusion. WASH was not identified as a driver of patient satisfaction but poor WASH provision was associated with significant patient dissatisfaction with infrastructure and quality of care.

I have slightly different views on this. Non-availability of the doctor is a major patient dissatisfaction, no doubt. Here, in the Sindh province of Pakistan, WASH is also a major patient dissatisfaction. In fact, the other day, the health secretary has been directed to report on water and sanitation facilities in hospitals in Sindh.

While the paper assess the hospitals in Africa, there are 4 cases of hospitals in India (Table 2 in the paper). My interpretation is (I may be wrong) that WASH as patient dissatisfaction is a point of concern in Indian hospitals.

I also believe that there will be slight variation of patients’ orientation towards dissatisfaction, from one region to another, and from one country to another.

Nevertheless, the paper is fascinating and full of useful information.

WASH in healthcare facilities is the topic of this site. Videos are very interesting. It says that 15.5% of patients develop one or more health care-associated infections during their stay. This is an important statistics. The section on: “Why Focus on WASH in Health Care Facilities” is interesting.

This is a useful site, considering the fact that in most developing countries, the WASH scenario is not encouraging.

Regards,
Evelyn (on behalf of the SuSanA secretariat)]]>Other non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)Fri, 15 Jan 2016 14:10:29 +0100Influence of bad sanitation in offices on wider community (local health offices and indeed our own field offices very often have dirty toilets or no toilet at all) - by: Toghohttps://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/16013-influence-of-bad-sanitation-in-offices-on-wider-community-local-health-offices-and-indeed-our-own-field-offices-very-often-have-dirty-toilets-or-no-toilet-at-all?start=12#16560
https://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/16013-influence-of-bad-sanitation-in-offices-on-wider-community-local-health-offices-and-indeed-our-own-field-offices-very-often-have-dirty-toilets-or-no-toilet-at-all?start=12#16560
In Cameroon it seems to be the norm for public especially government offices not to have functional toilet facilities. And where toilets function cleaning and maintenance is poor or absent.

This surely doesn't help people understand the need for proper sanitation especially if the attend health facilities.]]>Other non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)Fri, 15 Jan 2016 03:47:54 +0100Prisons and WASH - experiences by ICENECDEV in Cameroon - by: pascalgardehttps://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/15768-prisons-and-wash-experiences-by-icenecdev-in-cameroon#15889
https://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/15768-prisons-and-wash-experiences-by-icenecdev-in-cameroon#15889
This is a very interesting subject! I actually read about similar project in Uganda. You may want to have a look at this:
www.ircwash.org/blog/water-sanitation-an...-12ad09b813-53002789

This issue is particularly relevant to look at from the perspective of the human rights to water and sanitation (and other related human rights).

I would be interested in doing more research on this issue. Let me know if you want to collaborate on this. My details below:
Pascal GardeThis email address is being protected from spambots. You need JavaScript enabled to view it.

I posted one good example from Nepal, and a link to the WHO "Blue book" which I think is an excellent resource.

In my personal experience, the following issues are crucial in improving WASH and waste management in Health care facilities:

1. Get the full support of the management, they have the power to "enforce" decisions.
2. Work in a systematic and holistic way, addressing all waste management issues (including WASH) in a planned fashion.
3. Include simple safety measures for staff nurses (needle cutters, Hepatitis B and C inoculations, etc.)to motivate them.
4. Provide a lot of training, and especially continuous follow-up training for staff members.

One word on incinerators, please try to avoid them. The types of incinerators used in the developing world often cause terrible air pollution (dioxins and fluorins)because temperatures are very low and many plastics (including PVC) are burned in them. It is possible these days to set-up a complete safe system based on autoclaving and reclining. If my friends can make this work in Nepal, it can be done (almost) anywhere .

Regards

Marijn]]>Other non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)Sun, 11 Oct 2015 07:50:21 +0200Sanitation in Hospitals - WASH in Health Care Facilities for better health care services (WHO report) - by: RobynChristinehttps://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#14456
https://forum.susana.org/forum/categories/230-other-non-household-settings-e-g-hospitals-health-centres-prisons-train-stations-offices-work-places/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#14456
The Soapbox Collaborative is an evidence-based charity focused on improving hygiene practices around childbirth in low and middle income countries. A colleague of mine at WaterAid working on Health started working with them when common goals, yet different and complementing value adds / skills were identified. The rationale for bridging Soapbox's research capacity with WaterAid's policy and programming capacity was strong.

You can find more reading materials on the project
here
. The main report I wanted to direct you to just recently had to be taken offline for an amend but will be made available again soon. I didn't work on developing the toolkit so I am probably not best suited to field many questions on methodology. I can say though that the tools used in Zanzibar were adapted from the original tools developed for use in India (you can download the toolkit for use
here
).There may be a case for adapting existing tools as needed. I think soapbox intends to develop some recommendations around how this can be done. As I get more information for sharing externally I will let you know.

So why Zanzibar - The government of Zanzibar had prioritised improvements in maternal and newborn health, which really facilitated and supported this work. The ministry of Health was fully engaged in the project. This, coupled with us having access through our WaterAid Tanzania office contributed to the decision for working in Zanzibar.

As I mentioned, at WaterAid we are just starting to explore our role in healthcare settings. We recently had a webinar series to discuss this. In discussions we identified some potential next steps for starting to develop policy and programming capacity in healthcare settings. One ask coming from country programmes was to develop an inventory of existing tools. I think as we increase our capacity and policy / programming in healthcare settings we will develop a better understanding of how to get available tools routinely used. I suspect it will be largely context driven, and will require comprehensive and collaborative efforts ... and political prioritization.]]>Other non-household settings (e.g. hospitals, health centres, prisons, train stations, offices, work places)Tue, 11 Aug 2015 14:57:39 +0200